Director, Revenue Cycle Management

🕒 3 dias atrás

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Bicycle Health

SiteLinkedInTodas as Vagas

51 - 200 funcionários

Fundada em 2017

⚕️ Seguro de Saúde

📡 Telecomunicações

🧘 Bem-estar

Healthcare Insurance • Telecommunications • Wellness

A Bicycle Health é o programa líder em tratamento de saúde virtual para Transtorno do Uso de Opioides nos EUA, oferecendo tratamento seguro, confidencial e econômico totalmente online. Esta empresa inovadora permite que os pacientes acessem profissionais de saúde experientes por meio de um aplicativo seguro, oferecendo Tratamento Assistido por Medicamentos (TAM) e serviços de apoio personalizados para aqueles que lutam contra o vício em opioides. Com foco no cuidado ao paciente, a Bicycle Health já ajudou mais de 30. 000 pacientes e foi reconhecida como uma das 100 Empresas Mais Influentes pela TIME devido ao seu impacto no espaço de tratamento de dependência.

Descrição

• Manage the offshore Revenue Cycle Management (RCM) vendor to ensure timely billing, collections, and the completion of the month-end close. • Identifies any potential risk and compliance issues. • Educates teams about new billing guidelines, as well as changes in telehealth and behavioral health practices. • Collaborates closely with the compliance team to ensure adherence to all regulatory requirements. • Build out reporting revenue cycle management KPIs. • Manage the daily activities and priorities of the billing, financial coordination, and financial counseling teams ensuring high levels of employee satisfaction and productivity. • Train and educate team members on revenue cycle management best practices and industry benchmarks to improve metrics and build team accountability. • Own end to end claims revenue cycle transformation projects including documentation and coding (optimizing codes Bicycle Health is currently billing, and providing expertise in new codes to be considered under VBC and FFS contracts). • Partner with the Engineering, Product, and Operations teams to continue to introduce automation to our claims billing processes across value based and fee for service contracts as well as to identify and fix any billing issues that arise. • Communicate cross-functionally with Marketing, Payor Relations, Clinical Ops, Enrollment Coordination, CSS, etc. to plan and execute upcoming payor launches. • Project manages the entire Revenue Cycle function, setting up new payment structures as we expand our program offerings.

🎯 Requisitos

• At least 10 years of experience in healthcare revenue cycle management. • At least 5 years of supervisory experience. • Certified billing or coding certification required. • Expertise in telemedicine billing and coding for SUD/OUD/G Codes. • Advanced Excel/Google Sheets skills. • Persistence when working/communicating with payers. • Experience working cross-functionally with different teams. • Experience project managing internal projects. • Working knowledge of industry best practices in Revenue Cycle processes: billing, charge capture, contractual adjustments, third-party reimbursements, and collections and cash management. • Fundamental knowledge of revenue integrity (i.e. CPT and ICD-10 coding) and documentation requirements for billing and compliance. • Comfortable working with the ambiguity of a fast-paced startup. • Exceptional written and verbal communication skills. • Attention to detail, exceptional organizational and problem-solving skills. • Degree in health administration or related degree preferred. • Consistent access to a private work environment with high speed internet and professionally appropriate surroundings for frequent video conferencing and a workstation setup conducive to remote work needs.

🏖️ Benefícios

• Discretionary PTO + 8.5 days of additional sick time + 10 paid holidays • Paid parental leave • 100% Employer Paid Employee Medical, Dental, and Vision Insurance • Employer Paid STD & LTD • 401k • $50 monthly Remote Work Stipend